Healthcare Provider Details

I. General information

NPI: 1417832676
Provider Name (Legal Business Name): HABESHANETS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/07/2025
Last Update Date: 12/01/2025
Certification Date: 12/01/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3227 HEWITT AVE APT 202
SILVER SPRING MD
20906-4981
US

IV. Provider business mailing address

3227 HEWITT AVE APT 202
SILVER SPRING MD
20906-4981
US

V. Phone/Fax

Practice location:
  • Phone: 240-605-7615
  • Fax:
Mailing address:
  • Phone: 240-605-7615
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code313M00000X
TaxonomyNursing Facility/Intermediate Care Facility
License Number
License Number State

VIII. Authorized Official

Name: ABAY T BEKELE
Title or Position: CEO
Credential:
Phone: 240-643-7276